Fournier gangrene
Pronunciation: for-NYAY gan-green
A rapidly progressive necrotizing fasciitis affecting the perineal, perianal, and genital regions.
Full Definition
Fournier gangrene is a life-threatening urological emergency characterized by necrotizing fasciitis of the perineum, scrotum, penis, and perianal region. The condition typically affects immunocompromised patients or those with diabetes mellitus and involves polymicrobial infection with both aerobic and anaerobic bacteria. Rapid surgical debridement, broad-spectrum antibiotics, and supportive care are essential for survival. The mortality rate remains high despite aggressive treatment, making early recognition and intervention crucial.
Usage
Usage note: Capitalize 'Fournier' as it is an eponym; distinguish from other forms of necrotizing fasciitis.
In Context
- "Emergency surgical debridement was performed for suspected Fournier gangrene." — Emergency department note
- "The patient's diabetic history placed him at increased risk for Fournier gangrene." — Risk assessment documentation